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Biomedical subjects

R Carr-Hill

Publications and source records attributed to R Carr-Hill.

45 records · Page 3Linked to original sources
PubMed1985

Pre-eclampsia in second pregnancy.

A total population of pregnant women from Aberdeen City District 1967-1978 has been studied. There were 29 851 pregnancies and 6637 women had a first recorded pregnancy between 1967 and 1978 and had two or more pregnancy events. As expected the incidence of pre-eclampsia in a second pregnancy was less than that in a first pregnancy, but it was dependent on the outcome of the first pregnancy. If the first pregnancy was complicated by proteinuric pre-eclampsia than the incidence of the condition in the second pregnancy was similar to that in a first pregnancy, but women who were normotensive in the first pregnancy had a reduced incidence of the condition in the second pregnancy. The incidence of proteinuric pre-eclampsia after early abortion (less than 13 weeks), either spontaneous or induced was similar to the population incidence in a first pregnancy, but after a late spontaneous abortion the risk of proteinuric pre-eclampsia was significantly reduced. Change of civil status of the offspring from first to second pregnancy did not affect the incidence of pre-eclampsia in a second pregnancy. There was an effect of birthweight in that women who had proteinuric pre-eclampsia in conjunction with a low-birthweight baby (less than 2500 g) in their first pregnancy had double the incidence of proteinuric pre-eclampsia in their second pregnancy. Only a pregnancy of 37 weeks or more is likely to offer protection or 'immunity' to pre-eclampsia in a second pregnancy and even then the effect is moderated by the development of pre-eclampsia in the first pregnancy.

Abortion, Spontaneous↗
PubMed1985

Concomitant and repeated happenings of complications of the third stage of labour.

Complications of the third stage of vaginal delivery have been studied among 36 312 women in Aberdeen between 1967 and 1981. There was no change in the incidence of retained placenta (RP), but there was a secular increase in postpartum haemorrhage (PPH). Postpartum haemorrhage was three times more common when there was a retained placenta. PPH was commoner in primiparae and after induced labour. The main focus of this paper is on the analysis of the risks of repetition among 6615 women with two or three live births between 1967 and 1980. A history of PPH and/or RP increased the relative risks of PPH and/or RP in a subsequent birth by between two and four times compared with women without such a history. The risk of repetition was increased if the subsequent birth was induced, or if there was an intervening abortion. Nevertheless, only a minority of the multiparae who experienced a third stage complication had a previous history of such a complication.

Abortion, Spontaneous↗
PubMed1983

Pre-eclampsia in a second pregnancy.

The incidence of pre-eclampsia in a second pregnancy has been studied in 6,637 women for Aberdeen City whose pregnancies occurred between 1969 and 1978. The rate of pre-eclampsia in second pregnancy is less than in first pregnancy, but this is altered by the outcome of the first pregnancy with reference to length of gestation, occurrence of pre-eclampsia and abortion.

Abortion, Induced↗
PubMed1982

Impact of sex ratio on onset and management of labour.

In a study of 52,266 live singleton deliveries in a total population male babies were delivered at earlier gestations than female. This difference was not due to induction or elective caesarean section. Female babies were more likely to present and be delivered by the breech. When the presentation was cephalic, male babies were much more likely to be delivered by forceps or caesarean section and female babies to deliver spontaneously.

Birth Weight↗
PubMed1980

Social indicators: for individual well-being or social control?

This article is concerned with the way that social statistics reflect particular views of the world, and focuses on the specific case of the Organization for Economic Cooperation and Development's program to develop a set of social indicators. Some illustrations of previous attempts to collect social indicators are given, but the bulk of the article discusses the series of contradictions which regulate the generation and use of statistics by governments, the principal one being between measures which play the ideological role of displaying economic and social "progress" and measures which are of direct use in social planning. This is discussed both for social indicators in general and for social concerns linked to the measurement of health. The article ends with an attempt to evaluate the future of the OECD program within the development of modern capitalism.

Government↗
PubMedDate not supplied

Assessing the local need for family and child care services: a small area utilization analysis.

This article reports the findings of a study to develop a new method for allocating resources to family and child care services within Northern Ireland. Downloads from financial and client databases, together with a survey of social worker case activity, were used to estimate utilization costs across 500 local areas. Regression techniques were then used to account for variations in these costs in terms of local socioeconomic conditions. The resultant needs index represents a fair and equitable means of allocating central family and child care budgets to local units of management and service delivery.

Adult↗